ATTACH_9_-_QualStmt.doc

DOC document 31 KB Posted

Attached to
Cougar Mountain AML Construction WA-24-003
Solicitation number
140S0324B0001
Issued by

About this file

This document is a Contractor's Qualifications Statement, which is commonly required for federal contract opportunities. The key details are:

The document requests the contractor to provide information about their company, including name and place of business, equipment to be utilized, previous and current work experience similar to the project, proposed superintendent and their experience, subcontractors and their relevant experience, and bonding information. Contractors are also required to list any outstanding court judgments, liens, or other civil/criminal actions against the company or its principals.

The related federal contract opportunity is for the Cougar Mountain AML Construction WA-24-003 project, solicited by the Department of the Interior's Office of Surface Mining Reclamation and Enforcement. The opportunity type is a Solicitation, but no other details about the scope, response dates, award dates, pricing terms, or set asides are provided in the given information.

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CONTRACTOR'S QUALIFICATIONS STATEMENT

Complete in full and submit with your offer. Failure to submit this information will not be cause for rejection of your offer. However, if your firm is in line for a contract award, this information will be requested and is required to enable this office to make a determination of responsibility to consummate the award process. Use additional sheets if needed.

1.

Name and Permanent Place of Business:

Name:

Address:

City:

State:

Zip:

Phone No:

Duns No:

2.

Equipment

List all equipment to be utilized in performing work covered by the solicitation. Contractor must show evidence of firm commitment in writing for equipment not owned by contractor.

Type of

Model/

Size/

Age/

Lien

Equipment

Manufacturer

Capacity Condition

Holder 3.

Contractor's Experience

List and describe experience with previous and current work similar to this project.

Project Name:

Owner's Name:

Project Location:

Owner's Address:

Owner's Engineer in Charge:

Date of Work:

Cost:

Description of Work:

4.

Offeror's Proposed Superintendent and Experience

Work Phone:

Home Phone:

List and describe superintendent's experience with work similar to this project. The on-site superintendent is required to have experience supervising earthwork and concrete construction.

5.

Subcontractors

Offeror proposes to use the following subcontractors for the noted items of work.

Subcontractor Name & Address

Description of Proposed Work 6.

Subcontractor's Experience in Work Comparable to Proposed Work

Subcontractor's Name:

7.

Bonding (when applicable)

Offeror proposes to obtain a Payment Guarantee with the following corporate surety and agent within the time specified in this Invitation for Bid.

Surety

Agency

Address

8.

Principals

List full names and permanent addresses of persons and firms involved in the attached offer as principals.

Title:

9.

List all outstanding court judgments, mechanics liens, and other civil or criminal actions pending against offeror or principals.

Signature:

Name (printed):

Date:

File details come from the government source that posted it. Updated .